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Doctor insights on: Laproscopic Sigmoid Colectomy

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Whats ileorectal sigmoid anastomosis?

Whats  ileorectal sigmoid anastomosis?

Tough one!: There is an ileorectal anastomosis - when the colon is removed we can attach the ileum - part of the end of the small intestine - to the rectum. There is also an ileosigmoid anastomosis - when the ileum is attached to the sigmoid colon. Often the area is called the rectosigmoid region so this leads to the confusion. There is no ileorectal sigmoid anastomosis. ...Read more

Dr. Loki Skylizard
651 doctors shared insights

Laparoscopy (Definition)

Laparoscopy involves placement of a small camera-scope into the abdominal cavity, most often at the belly button. This allows us to see and surgically rx many abdominal and pelvic diseases. This is combined with distinction of the abd cavity with co2 gas to create more space to work. This usually requires a general anesthetic, yet most people can go ...Read more


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What is surgery ileoanal or ileorectal anastomosis for ulcerative colitis?

What is surgery ileoanal or ileorectal anastomosis for ulcerative colitis?

This is when the: Colon is removed and part or all of the rectum is removed, then the small bowel or ileum is sewn/stapled to the rectum or anus, usually with the construction of a artificial rectal pouch and a temporary diverting ileostomy. ...Read more

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Can ulcerative colitis after having colostomy reversal surgery?

Can ulcerative colitis after having colostomy reversal surgery?

Not to worry: If there is no history of ulcerative colitis in the past there is no reason to believe a reversal procedure will precipitate one. If you did not have ulcerative colitis before surgery you don't have to worry about it after. ...Read more

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Can you tell me about lap radical subtotal gastrectomy w/ en-bloc distal pancreatectomy & transverse colectomy?

Can you tell me about lap radical subtotal gastrectomy w/ en-bloc distal pancreatectomy & transverse colectomy?

Performed for cancer: Radical subtotal gasstrectomy is usually performed for mid to distal stomach cancers. Upper stomach lesions have an Ivor Lewis procedure. To require pancreas body and tail removed means the lesion performated into the lesser sac to involve body of pancreasa and invade gastrocolic ligament to hit the transverse colon. If all tumor out, regardless of approach, chemo may still be needed. ...Read more

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Have you done surgical resection of ascending colon in Crohn's colitis?

Have you done surgical resection of ascending colon in Crohn's colitis?

Not recommended: Whenever there is evidence of dysplasia or cancer in the setting of crohn's colitis, it is probably better to consider a total proctocolectomy as there is high risk of synchronous cancer or recurrence elsewhere in the colon. ...Read more

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How long after laparoscopic abdominal surgery should/must bowel movements reoccur?

How long after laparoscopic abdominal surgery should/must bowel movements reoccur?

BM: You should have a bowel movement by three days after laparoscopy. If you have not had a bowel movement, call your surgeon. :) ...Read more

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Had complete hysterectomy gallbladder appendix removed had endometreosis would this cause pancreatitis?

Had complete hysterectomy gallbladder appendix removed had endometreosis would this cause pancreatitis?

Several reasons: That cause pancreatitis , from drugs , your medications , alcohol , personal habits , small stones in your biliary ducts ( gall bladder related ) its abnormality. Speak to your doctor will explain to you what is cause in your case. ...Read more

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Postmenopausal laparoscopic oophorectomy dermoid cyst?

Postmenopausal laparoscopic oophorectomy dermoid cyst?

For postmenopausal:: I would recommend oophorectomy in a postmenopausal patient, due to the (small, but possible) risk of a malignancy. While the most common type of dermoids are benign, they can be some that are malignant, and in a menopausal female i would recommend oophorectomy instead of cystectomy, to ensure that the tumor is removed entirely. For a premenopausal patient i would recommend cystectomy. ...Read more

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SubColectomy w/Ileostomy Placmnt in 01, Abdominal Dishences frm c.diff infec causin rectum removl. Ileostomy revisn X2 in 09. Reversal Possible now?

SubColectomy w/Ileostomy Placmnt in 01, Abdominal Dishences frm c.diff infec causin rectum removl. Ileostomy revisn X2 in 09. Reversal Possible now?

Maybe: It depends on whether or not the rectum was removed or not. There's no reason to think you have a sphincter problem, and if that's true, along with the presence of the rectum, you may be able to get reversed. Without most of the colon, likely to have frequent BM's. see a colorectal surgeon for a more complete eval. Hope this helps! ...Read more

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Constipated after gallbladder surgery?

Constipated after gallbladder surgery?

Miralax (polyethylene glycol): Decrease amount of pain medications, try prunes, MiraLAX (polyethylene glycol) , stool softeners and ask your surgeon for advice. ...Read more

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Is colonic irrigation following bowel resection normal?

Is colonic irrigation following bowel resection normal?

Not sure: Not sure what kind of surgery you had, but colonic irrigation is not usually done after bowel surgery. You should ask your surgeon specifically what type of surgery you had and why. ...Read more

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If patient had total colectomy with Ileostomy placement, can they have a surgical procedure involving ileum to sigmoid/left colon several yrs later.

If patient had total colectomy with Ileostomy placement, can they have a surgical procedure involving ileum to sigmoid/left colon several yrs later.

YES: if one performs a left colectomy, even extending the dissection below peritoneal reflection, as long as there is a rectal stump, 1-2 cm above the levators, proximal bowel can be reanastomosed. One can creates a pouch from the proximal bowel to make anastomosis easier and have the pouch act as a partial reservoir for the liquid feces in the ileum that will be used for anastomosis ...Read more

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What to expect for surgical resection of ascending colon in Crohn's colitis?

What to expect for surgical resection of ascending colon in Crohn's colitis?

Are you sure?: Partial resection of the colon on Crohn's disease can be tricky and also can lead to complications such as obstruction of the colon that is left over. Many are left with permanent ostomy bags. I wouldnmake absolutely certain that you have maxed out medical therapy and would even get a second opinion before embarking on this surgery ...Read more

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Can laparoscopic Splenectomy and small bowel Laparoscopic Exploration be done in one operation ?

Can laparoscopic  Splenectomy and small bowel Laparoscopic Exploration be done in one operation ?

Laparoscopy: A laparoscopic surgery allows the surgeon to look around the abdominal cavity without too much difficulty and usually without changing or adding incisions. If your surgeon is skilled enough to they should be able to do both at one time. Good luck. ...Read more

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Friend had ct scan with rectal contrast. Diverticulosis without hemmorage sigmoid mural abscess bowel thickening. Surgery? No symptoms heart patient.

Friend had ct scan with rectal contrast. Diverticulosis without hemmorage sigmoid mural abscess bowel thickening. Surgery? No symptoms heart patient.

Possibly: From what you describe, it sounds like surgery is a good option. If this is the first episode of diverticulitis, then the doctor may give antibiotics a try and determine later if surgery is required. Usually surgery is needed at some point. ...Read more

Dr. Raj Kapur
752 doctors shared insights

Colectomy (Definition)

It can mean removal of part or complete colon with ...Read more